The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED AMENDMENT

20 CSR 2030-4.100 Applications—Formerly Licensed

This rule is being amended to come into compliance with the provisions of HB 2046 which went into effect on August 28, 2020 by specifically providing timelines and procedures for applicants for admission by comity under section 324.009, RSMo

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-6.015
Application, Renewal, Relicensure, and Miscellaneous Fees

Due to the rescission of board rule 20 CSR 2030-4.055 on March 30, 2021, this rule is being amended to delete the temporary courtesy license application filing fee for nonresident military spouse and the temporary courtesy license extension fee for nonresident military spouse and to change reference from Duplicate Certificate License Fee to Replacement Certificate License Fee.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-13.010
Immediate Personal Supervision

This rule is being amended primarily to provide more clarity regarding the licensee’s contact with the client.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-13.020
Immediate Personal Supervision for Professional Land Surveyors

This rule is being amended to provide more clarity regarding the licensee’s contact with the client and to specify guidelines in circumstances where a licensee in responsible charge of the work is unavailable to complete the work.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2010-2.061 Requirements for an Initial License to Practice

This amendment corrects a statutory reference.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED RESCISSION

20 CSR 2120-3.400
Preneed Agents—Requirements of Agent’s Seller 

The purpose of this rescission is a result of relevant information being moved to other regulations.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED RESCISSION

20 CSR 2120-3.405
Preneed Agents—Missouri Law Exam
The rule is being rescinded so that a readoption can be filed that provides additional clarification.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED RULE

20 CSR 2120-3.405
Preneed Agents
This rule outlines the provisions for the practice of preneed agent.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will cost private entities eighteen thousand two hundred twenty dollars ($18,220) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

Link to Missouri Register

This proposed rule does have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED RESCISSION

20 CSR 2120-3.410
Preneed Agent’s Seller Must Be Licensed

The purpose of this rescission is a result of relevant information being moved to other regulations.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED AMENDMENT

20 CSR 2220-2.200
Sterile Compounding

This amendment removes the requirement that Risk Level 3 preparations must remain Risk Level 3 for the life of the preparation.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. 

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

EMERGENCY AMENDMENT

20 CSR 2220-2.200
Sterile Compounding

This amendment removes the requirement that Risk Level 3 preparations must remain Risk Level 3 for the life of the preparation.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.

Link to Missouri Register

This emergency amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED RULE

20 CSR 2220-2.016
Pharmacy Operating Procedures During Declared Disasters

This rule establishes guidelines for temporary pharmacy operations during an emergency or declared disaster.

PUBLIC COST: This proposed rule will result in a decrease in revenue to the State Board of Pharmacy of two-thousand dollars, six hundred and fifty dollars ($2,650) annually for the life of the rule, as reflected in the attached public fiscal note.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

PROPOSED RECISSION

20 CSR 2220-2.016
Pharmacy Operating Procedures During Declared Disasters

This rule is being rescinded and re-promulgated to address both disasters and state/federal emergencies.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2234-1.050 Fees

The board is increasing the application, renewal, and reactivation fees.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities five thousand five hundred dollars ($5,500) annually and fifty-one thousand four hundred fifty dollars ($51,450) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Private Investigators

PROPOSED AMENDMENT

20 CSR 2263-2.031 Acceptable Supervisors and Supervisor Responsibilities

This amendment reduces continuing education requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED AMENDMENT

20 CSR 2263-2.050 Application for Licensure as a Social Worker

This amendment allows applicants to take the exam before they graduate.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED AMENDMENT

20 CSR 2235-7.010 Continuing Education

The amendment is the result of a statutory change necessitating three (3) of the forty (40) continuing education credits required be in ethics and clarifies the reporting period.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2255-1.030 Complaint Handling and Disposition

This amendment allows the board to take disciplinary action for failure to respond to a board request or inquiry.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Respiratory Care
20 CSR 200-22.010 Licensing Procedures for Pharmacy Benefits Managers This proposed rule prescribes the license application process and fee required for Pharmacy Benefit Managers. All forms referenced in this regulation may be accessed at the department’s website at www.insurance.mo.gov. This rule is adopted pursuant to sections 374.045, 374.230 RSMo and implements section 375.393, RSMo.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Insurance

Resources